Individual
ALICE JANE MCKINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7002
(607) 271-3435
Mailing address
21808 SR 54, LUTZ, FL 33549
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0102207151
VA
2084P0800X
Psychiatry Physician
Primary
281701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05336383
—
NY
05
—
103598538
—
PA
Enumeration date
06/02/2006
Last updated
07/16/2024
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